Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.75 / $44.75 / $106.29	Facility		$44.75	$44.75	$106.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $56.52 / $70.95	Professional		$43.73	$56.52	$70.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.23 / $131.91 / $345.82	Facility		$94.23	$131.91	$345.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $78.34 / $150.43	Professional		$50.24	$78.34	$150.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.09 / $97.51 / $174.33	Facility		$80.09	$97.51	$174.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $80.09 / $80.09	Professional		$80.09	$80.09	$80.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $81.37 / $81.37	Facility		$81.37	$81.37	$81.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $72.61 / $125.90	Professional		$59.40	$72.61	$125.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $94.23 / $141.69	Professional		$71.61	$94.23	$141.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $117.79 / $120.14	Professional		$116.50	$117.79	$120.14
United Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $47.01 / $77.54	Professional		$31.34	$47.01	$77.54